3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A provisional employee may not be permitted to work alone with children and must work within the vicinity of a permanent employee. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The file for Staff person #1 was observed not to contain a valid State Police clearance within 45 days of hire (See IS CODE SHEET). The file for Staff person #2 was observed to lack a complete State Police clearance.

Corrected Corrected by Jun 23, 2025

Category: background checks. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

The child file for Child #1 was observed to have a current emergency contact information form that lacked the health insurance policy number.

Corrected Corrected by Jun 23, 2025

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The staff file for Staff person #4 contained a current health assessment and tuberculosis screening/results dated 10/2/24 which was not conducted prior to providing initial service in a childcare setting.

Corrected Corrected by Jun 23, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

The staff file for Staff person #3 contained a current health assessment dated 5/13/25 that was observed to lack an examination for communicable diseases and the results of that examination.

Corrected Corrected by Jun 24, 2025

Category: health medication. Marked corrected in the state record.

3270.25(b) · The operator shall post a copy of each inspection summary issued by the Department in a conspicuous location used by parents. The inspection summary shall remain posted until an agent of the Department verifies that each regulatory noncompliance item cited on the inspection summary has been corrected.

The facility's notice of issuance of a provisional certificate of compliance and all attachments were not posted in a conspicuous location used by parents as evidence by those documents were being covered over by a CPCS recall sign.

Corrected Corrected by Aug 27, 2024

Marked corrected in the state record.

3270.27(e) · The operator shall provide to the parent of each enrolled child a letter explaining the emergency procedures. The operator shall also provide to the parent of each enrolled child a letter explaining any subsequent update to the plan.

The letter to the parents explaining the emergency procedures does not mention annual emergency drills, lockdown, or accommodations for infants/toddlers and children with disabilities or chronic medical conditions.

Corrected Corrected by Aug 28, 2024

Category: physical safety. Marked corrected in the state record.

3270.31(f) · Staff person(s) shall complete professional development in the topics of 3270.31(f)(1 -- 10), 3280.31(f) (1-10), or 3290.31(g) (1-10) within 90 days of hire. Staff person #3, Staff person #4, Staff person #7, Staff person #10 and Staff person #11 will have until 9/10/24 to complete the required training. Until such time as the required training has been completed, Staff person #3, Staff person #4, Staff person #7, Staff person #10 and Staff person #11 must be supervised, when interacting with childre by an AGS who has completed the required training related to this citation. If there are no staff available to supervise Staff person #3, Staff person #4, Staff person #7, Staff person #10 and Staff person #11 may not work in a child-care position at the facility.

Staff person #3, Staff person #4, Staff person #7, Staff person #10 and Staff person #11 have not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training Revised 10-hour training.

Corrected Corrected by Aug 26, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development in the topics of 3270.31(f)(10), 3280.31(f) (10), or 3290.31(g) (10) within 90 days of hire. Staff person #6 must receive pediatric first-aid/CPR training in an approved curriculum by a PQAS-certified trainer. Until such time as the correction is implemented, staff person #6 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #6, staff person #6 may not work in a child-care position at the facility.

Staff person 6 has acceptable pediatric first aid/CPR training in an approved curriculum; however, the trainer has not provided documentation that they are PQAS-certified in that training topic.

Corrected Corrected by Aug 22, 2024

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). LACKING REQUIRED HIRING DOCUMENTS: Facility Person # 5 and #6-- may not work in a childcare position at the facility. A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #5 and #6 may not work in a child care position at the facility.

The file for Staff person #5 was observed to lack documentation of having applied for and received a state sex offender check from the States in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL). The file for Staff person #6 was observed to lack documentation of having applied for and received a state sex offender check and State child abuse and neglect check from the States in which they resided in within the previous five years as required by the Child Protective Service Law (CPSL).

Corrected Corrected by Aug 23, 2024

Category: background checks. Marked corrected in the state record.

3270.34(b)(1)/3270.192(2)(ii) · A director shall have attained a bachelor's degree from an accredited college or university in early childhood education, child development, special education, elementary education or the human services field and 1 year of experience with children. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The staff file for Staff person #3 who is functioning as Director, lacked documentation of 1 year of experience working with children.

Corrected Corrected by Aug 26, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.106(f) · At least 2 feet of space is required on three sides of a bed, cot, crib or other rest equipment while the equipment is in use.

At approximately 10:15am, in the Infant Room, two infants were observed to be asleep in separate cribs; one crib did not have at least 2 feet of space on three sides of that crib and the other crib, which was placed up against a corner wall, did not have 2 feet of space on two sides of that crib while it was in use.

Corrected Corrected by Aug 27, 2024

Category: physical safety. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 1:30pm, during naptime in the Twos Room, Staff person #11 was observed sitting at a child's table and how they were positioned, they could not adequately supervise one of the napping children who was next to the table due to the table and chairs obstructing Staff person #11's ability to see and assess that child.

Corrected Corrected by Aug 27, 2024

Category: supervision. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

The child file for Child #1 was observed to have a current financial agreement form that lacked the admission date.

Corrected Corrected by Aug 21, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

The staff file for Staff person #8, contained a current health assessment dated 4/6/24 which was conducted more than 24 months from the previously dated 3/2/22 health assessment on file. The staff file for Staff person #9, contained a current health assessment dated 11/27/23 that lacked the name of Staff person #9 on the form therefore making it invalid.

Corrected Corrected by Aug 12, 2024

Category: ratio. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Upon review of the facility's 30-day fire testing documentation, the following tests were observed to have been conducted more than 30 days apart: 8/28/23 - 9/28/23 (31 days) and 3/15/24 - 4/15/24 (31 days).

Corrected Corrected by Apr 15, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility's current provisional certificate of compliance was not posted in a conspicuous location used by parents as evidence by it was being covered over by a CPCS recall sign.

Corrected Corrected by Aug 27, 2024

Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Child #1 was found alone in a classroom with no staff person present with the child, making the room out of ratio.

Corrected Corrected by Mar 26, 2024

Category: ratio. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Staff person #1 and #2 were supervising the PreK A classroom but neither staff person saw Child #1 leave the classroom prior to her being found alone in the Preschool classroom.

Corrected Corrected by Mar 26, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · ** The legal entity must submit documentation of administrators monitoring supervision and ratio during arrival and dismissal in all classrooms 3 times/week. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a monthly basis for a period of three months after the submission of this Plan of Correction.

** Staff person #1 and #2 were responsible for Child #1 while in the PreK A classroom and neither staff person was aware that Child #1 left the classroom unsupervised.

Corrected Corrected by Jul 8, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · *** The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding supervision of children by the ELRC. The training is to include staff positioning in a classroom, particularly regarding the ability for all classroom exits to be able to be monitored; as well awareness of what each staff person is responsible for throughout the day, but particularly at transitions and during drop-off and pick-up times.

*** Staff person #1 and #2 were responsible for Child #1 while in the PreK A classroom and neither staff person was aware that Child #1 left the classroom unsupervised.

Corrected Corrected by Apr 30, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · * Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

* Staff person #1 and #2 were responsible for Child #1 while in the PreK A classroom and neither staff person was aware that Child #1 left the classroom unsupervised.

Corrected Corrected by Mar 15, 2024

Category: supervision. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

At approximately 11:00 am, on 9.27.23, Staff #1 and Staff #2, took all of the children from the Two's Room, outside to the play space, and left Child #1 behind in the classroom, unsupervised, for approximately 20 minutes. Therefore, ratio was 0:1.

Corrected Corrected by Nov 10, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · *** The legal entity must submit documentation in a format approved by DHS proving that the facility procedure for counting children is followed at all times e.g., a checklist. The supervision checks, in each classroom, are to be conducted three times per week. The legal entity will confirm continuing compliance by sending copies of the documentation to the Regional Office of Child Development and Early Learning on a monthly basis for a period of two additional months after DHS approves the documentation format.

*** At approximately 11:00 am, on 9.27.23, Staff #1 and Staff #2, took all of the children from the Two's Room, outside to the play space, and left Child #1 behind in the classroom, unsupervised, for approximately 20 minutes.

Corrected Corrected by Jan 23, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · ** The legal entity must arrange for all facility staff to receive a minimum of two hours of in-person training regarding supervision of children by the ELRC.

** At approximately 11:00 am, on 9.27.23, Staff #1 and Staff #2, took all of the children from the Two's Room, outside to the play space, and left Child #1 behind in the classroom, unsupervised, for approximately 20 minutes.

Corrected Corrected by Jan 23, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

At approximately 11:00 am, on 9.27.23, Staff #1 and Staff #2, took all of the children from the Two's Room, outside to the play space, and left Child #1 behind in the classroom, unsupervised, for approximately 20 minutes.

Corrected Corrected by Nov 10, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 11:00 am, on 9.27.23, Staff #1 and Staff #2, took all of the children from the Two's Room, outside to the play space, and left Child #1 behind in the classroom, unsupervised, for approximately 20 minutes. Therefore, no staff were physically present with the child in the child care space.

Corrected Corrected by Nov 10, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1, #6 may not work in a child care position at the facility.

The file for Staff person #1 includes an FBI clearance obtained through the PA Department of Education, not DHS, making it invalid (See LIS Code Sheet). The file for Staff person #6 was observed to include a child abuse clearance which was obtained for volunteer purposes and is invalid (See LIS Code Sheet).

Corrected Corrected by Nov 1, 2023

Category: background checks. Marked corrected in the state record.

3270.33(a)/3270.192(2)(ii) · A staff person or a substitute staff person shall meet one of the applicable staff qualifications for the position in which the person is performing. A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

The file for Staff person #4, #7, #8, #9, #10, classified as Assistant Group Supervisors, do not include a high school diploma or a general educational development certificate and 30 credits in education or a related human services field; or i high school diploma or a general educational development certificate and 15 credits in education or a related human services field and 1 year of verified child care experience; or a high school diploma or a general educational development certificate with 2 years of verified child care experience.

Corrected Corrected by Nov 1, 2023

Category: supervision. Marked corrected in the state record.

3270.131(b)(2)/3270.182(1) · The operator shall require the parent to provide an updated health report at least every 12 months for an older toddler or preschool child. A child's record shall contain initial and subsequent health reports.

The two most recent health assessments on file for Child #1, who is a preschool age child, are dated 1/4/22 and 3/17/23, more than 1 year apart. The two most recent health assessments on file for Child #3, who is a preschool age child, are dated 3/28/22 and 5/2/23, more than 1 year apart.

Corrected Corrected by Sep 29, 2023

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings).

The immunization record on file for Child #2, who is 21 months old, includes 1 of 3 Hepatitis B vaccines recommended by the ACIP for a child this age; no influenza vaccines, recommended annually by the ACIP for a child this age; 0 of 1 MMR vaccines recommended for a child this age; and 0 of 1 Varicella vaccines recommended for a child this age.

Corrected Corrected by Nov 6, 2023

Category: health medication. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

The file for Staff person #4 and #5 includes only 1 written nonfamily reference.

Corrected Corrected by Nov 8, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire alarm 30-day test log includes test dates1/18/23-2/20/23; 3/20/23-4/20/23, and 7/3/23-8/3/23, more than 60 days apart.

Corrected Corrected by Oct 31, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #2 includes 9 of 12 required annual training hours completed between 8/9/22-8/9/23, as per Announcement C-21-09. The file for Staff person #3 includes 2 of 12 required annual training hours completed between 12/19/21-12/19/22, with an additional 10 hours of training after 12/19/22 to be counted toward the requirement, as per Announcement C-21-09.

Corrected Corrected by Nov 6, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Based on staff interviews it was determined that on several occasions prior to 8.17.23 staff have been out of ratio, typically during drop-off, while they wait an additional staff person to arrive in the classroom.

Corrected Corrected by Aug 25, 2023

Category: ratio. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child.

Based on interviews it was determined that Staff person #1 was observed dragging Child #1, who was sitting on the floor on a foam mat, off the mat and across the tile floor approximately, 10 feet, in a sitting position.

Corrected Corrected by Aug 21, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

While conducting a complaint investigation on 8/17/23 the Certification representative observed the Infant room out of ratio: Staff person #1 and Staff person #2 were in the room with 1 young toddler and 8 infants for a period of 2 minutes.

Corrected Corrected by Aug 23, 2023

Category: ratio. Marked corrected in the state record.

3270.51 · When children are grouped in similar age levels, the following maximum child group sizes and ratios of staff persons apply: Infants 1:4 with a maximum group size of 8; Young toddlers 1:5 with a maximum group size of 10; Older toddlers 1:6 with a maximum group size of 12; Preschool children 1:10 with a maximum group size of 20; Young school-age children 1:12 with a maximum group size of 24; Older school-age children 1:15 with a maximum group size of 30.

Staff person #1 and #2 did not know that Child #1 exited the classroom and was gone for a period of 3 minutes, therefore no staff person was present to maintain ratio requirements.

Corrected Corrected by Aug 25, 2023

Category: ratio. Marked corrected in the state record.

3270.113(a) · The facility will update their staff handbook/Policy & Procedure manual to include the requirements for staff persons to report any child who is unsupervised, lost, or left behind in the facility or on an excursion away from the facility.

**** Staff person #1 and #2 left Child #1 unsupervised for approximately 3 minutes when he exited the classroom unseen and exited the facility and stood on the sidewalk outside, until he was discovered by another parent.

Corrected Corrected by Aug 25, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · Each staff member will complete DHS approved training on the topic of Supervision. Documentation of the completed training will be submitted to the certification representative within 1 week of completion of the training.

*** Staff person #1 and #2 left Child #1 unsupervised for approximately 3 minutes when he exited the classroom unseen and exited the facility and stood on the sidewalk outside, until he was discovered by another parent.

Corrected Corrected by Jun 30, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · All staff persons will have name tags of the children they are responsible for and will stop at all transition points (leaving and entering a new space) to match all tags to children in their care.

****** Staff person #1 and #2 left Child #1 unsupervised for approximately 3 minutes when he exited the classroom unseen and exited the facility and stood on the sidewalk outside, until he was discovered by another parent.

Corrected Corrected by Jun 30, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · The directors will complete random weekly supervision and ratio checks and submit the documentation to OCDEL each week.

******* Staff person #1 and #2 left Child #1 unsupervised for approximately 3 minutes when he exited the classroom unseen and exited the facility and stood on the sidewalk outside, until he was discovered by another parent.

Corrected Corrected by Sep 1, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

* Staff person #1 and #2 left Child #1 unsupervised for approximately 3 minutes when he exited the classroom unseen and exited the facility and stood on the sidewalk outside, until he was discovered by another parent.

Corrected Corrected by Jun 30, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a) · The facility will conduct monthly staff meetings for a period of 4 months from the approval of this Plan of Correction, reviewing supervision requirements and expectations at each meeting. A synopsis and attendance sheet will be submitted to the certification representative within 48 hours of the meeting date.

** Staff person #1 and #2 left Child #1 unsupervised for approximately 3 minutes when he exited the classroom unseen and exited the facility and stood on the sidewalk outside, until he was discovered by another parent.

Corrected Corrected by Dec 22, 2023

Category: supervision. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

Child #1, a preschool child, was alone and unsupervised for a period of 3 minutes when he exited the classroom unseen and walked down the hall and exited the building. Staff person #1 and #2 were unaware of the whereabouts of Child #1 during this time. There was no staff person present with the child to fulfill the staff to child ratio requirement during this time.

Corrected Corrected by Aug 25, 2023

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #1 and #2 may not work at the facility.

The file for Staff #1, employed for more than 45 days, contained a State Police request, and therefore, was incorrectly provisionally hired. The file for Staff #2 lacked requests for out of state clearances prior to working with children. Therefore, she was incorrectly provisionally hired.

Corrected Corrected by Jul 3, 2023

Category: background checks. Marked corrected in the state record.

3270.113(a)(1) · Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

At approximately 10:30 AM in Room 10 there were 17 preschool aged children. Staff #1 named 10 of the children as being in her assigned group. Staff #3 named 6 of the children as being in her assigned group but was unable to name the 7th child. Staff #3 stated that she did not know all the names of the children in her "assigned" group.

Corrected Corrected by Jun 16, 2023

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

Multiple staff have reported being out of ratio at various times.

Corrected Corrected by Nov 28, 2022

Category: ratio. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10.

Staff person #11 and #12 did not complete the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR. Staff person #11 completed the training on 8/13/22 and Staff person #12 completed the training on 8/11/22

Corrected Corrected by Sep 19, 2022

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

The signed Disclosure statement on file for Staff person #1, #3, #4, #5, #6, #7, #8, #10, and #12 is not dated, making it invalid.

Corrected Corrected by Oct 17, 2022

Category: background checks. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

There was a missing outlet cover in the Mailcarriers room, in the back of the room.

Corrected Corrected by Sep 19, 2022

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

There were missing toilet bolt covers in the bathroom on the Bakers classroom and on the handicapped toilet in the bathroom in the Mailcarriers room.

Corrected Corrected by Sep 24, 2022

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There were areas of peeling paint on the following areas: in the Bakers room under the 3rd window on the right and in the art area; in the Librarians Room, on the Gallery wall and under the smart board.

Corrected Corrected by Sep 19, 2022

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

There were pompoms and sequins in the Older Toddler 1 room (Barbers), used for arts and crafts projects, that were smaller than 1 inch.

Corrected Corrected by Sep 19, 2022

Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(1) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP.The facility shall require the parent to provide updated written verification from a physician, physician's assistant, CRNP, the Department of Health or a local health department of ongoing vaccines administered to an infant, toddler or preschool child in accordance with the schedule recommended by the ACIP.

The most recent influenza vaccination on file for Child #1, who is 4 years old, is dated 10/12/20, more than 1 year ago, as is recommended annually by the ACIP.

Corrected Corrected by Sep 20, 2022

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.192(3) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.A facility person's record shall include a written report of initial and subsequent health assessments, including the results of initial and subsequent tuberculin skin tests, x-rays or other medical documentation necessary to confirm freedom from communicable tuberculosis.

The two most recent health assessments on file for Staff person #2 were dated 5/15/20 and 5/25/22, more than 24 months apart. The two most recent health assessments on file for Staff person #9 were dated 8/11/20 and 8/23/22, more than 24 months apart.

Corrected Corrected by Oct 17, 2022

Category: ratio. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

The safety drop-off and pick-up procedures were not posted in a conspicuous location in the child care facility.

Corrected Corrected by Oct 20, 2022

Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The facility does not have proof of purchase for the interconnected fire detection system.

Corrected Corrected by Sep 19, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The fire drill log on file at the facility includes fire drills held on 1/10/22-2/11/22; 2/11/22-3/18/22; 3/18/22-4/22/22; 5/12/22-6/30/22, all more than 60 days apart.

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.25(a) · The facility's current certificate of compliance shall be posted in a conspicuous location used by parents. The operator shall provide the parent of each child enrolled with information on how to access the regulations in this chapter electronically and with instructions for contacting the appropriate regional child care office.

The facility did not have verification of providing the parent of each child enrolled with information on how to access the regulations in this chapter electronically.

Corrected Corrected by Oct 17, 2022

Marked corrected in the state record.

3270.31(e)/3270.192(2)(iii) · A staff person shall obtain an annual minimum of 12 clock hours of child care training.A facility person's record shall include verification of child care experience, education and training following the outset of service at the facility.

The file for Staff person #9 and #11, did not include verification of having completed 12 hours of annual training between 12/19/20-12/19/21 (See LIS CODE SHEET).

Corrected Corrected by Oct 17, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.113(a) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises.

Staff person #1 turned her back to Child #1, an infant, who was sitting on the floor, when the child apparently fell, hitting her head and suffering a significant head injury.

Corrected Corrected by Oct 28, 2022

Category: supervision. Marked corrected in the state record.

3270.27(a)(5) · The facility shall have an emergency plan that provides for accommodations for infants, toddlers, children with disabilities, and children with chronic medical conditions.

The observed emergency plan lacked accommodations for infants and toddlers.

Corrected Corrected by Oct 25, 2021

Category: physical safety. Marked corrected in the state record.